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prior local radiotherapy, malar hypoplasia, thin cheeks or REFERENCES
Down’s syndrome is contraindicated. [14]
1. Reddy NV, Issrani R, Reddy S, Prabhu N, Nigam NK. Desmoplastic
Approximately half of the desmoplastic lesions are ameloblastoma‑a case report with literature review. J Res Adv Dent 2013;2:95‑100.
located in the maxilla, and the vast majority of them 2. Reichart PA, Philipsen HP, Sonner S. Ameloblastoma: biological profile of
occur in the anterior or premolar portion of the jaws. 3677 cases. Eur J Cancer B Oral Oncol 1995;31B: 86‑99.
Maxillary lesions are more insidious than mandibular 3. Rastogi V, Pandilwar PK, Maitra S. Ameloblastoma: an evidence based study.
tumors owing to the proximity of vital structures and 4. J Maxillofac Oral Surg 2010;9:173‑7.
Eversole LR, Leider AS, Hansen LS. Ameloblastomas with pronounced
the maxillary sinus. Studies verify that DA shows a desmoplasia. J Oral Maxillofac Surg 1984;42:735‑40.
[15]
tendency to recur and the rate of recurrence is reported 5. Angadi PV, Kale A, Hallikerimath S, Kotrashetti V, Mane D, Bhatt P,
within the range of other histological subtypes. [1,6] Since Shukla D. ‘Hybrid’ desmoplastic ameloblastoma: an unusual case report with
DA tends to infiltrate the surround bone trabeculae, immunohistochemical investigation for TGF‑β and review of literature. East
curettage is considered an inappropriate treatment 6. J Med 2011;16:9‑17.
Rajendran R. Cysts and tumors of odontogenic origin. In: Rajendran R,
for DA. Therefore, block excision is the most widely Sivapathasundharam B, editors. Shafer’s Textbook of Oral Pathology. 5th ed.
accepted form of treatment for such lesions of the Noida: Reed‑Elsevier India Private Limited; 2006. p. 357‑432.
maxilla, particularly because recurrence is almost 7. Egyedi P. Utilization of the buccal fat pad for closure of oro‑antral and/or
inevitable and difficult to treat. [11,16] The majority of DA 8. oro‑nasal communications. J Maxillofac Surg 1977;5:241‑4.
Durrani Z. Buccal fat pad flap in reconstruction of oral cavity defects: a case
cases reported in the literature have been treated by series of five patients. JKCD 2012;2:83‑5.
resection, most likely due to ill‑defined borders and an 9. Tideman H, Bosanquet A, Scott J. Use of the buccal fat pad as a pedicled
aggressive biological behavior. [17] graft. J Oral Maxillofac Surg 1986;44:435‑40.
10. Alkan A, Dolanmaz D, Uzun E, Erdem E. The reconstruction of oral defects
Various surgical techniques have been suggested for with buccal fat pad. Swiss Med Wkly 2003;133:465‑70.
the closure of oral defects such as primary closure, 11. Laxmana AR, Gogineni SB, Thomas PS, Shetty SR. Desmoplastic
ameloblastoma‑a report of two clinical cases. Braz J Oral Sci 2010;9:137‑41.
split‑thickness skin graft, allogenic graft, with local flaps 12. Chakrabarti J, Tekriwal R, Ganguli A, Ghosh S, Mishra PK. Pedicled buccal fat
such as buccal advancement flap, palatal pedicled flap pad flap for intraoral malignant defects: a series of 29 cases. Indian J Plast Surg
or double layered closure flaps using buccal and palatal 2009;42:36‑42.
tissues. However, the aforementioned procedures produce 13. Ahmad SA, Khan S, Ahmad MS. Buccal fat pad reconstruction of oral mucosa
in leukoplakia. Ozean J Med Sci 2010;1:13‑8.
large denuded areas, result in decrease of vestibular sulcus 14. Mohan MC, Manimaran K. Reconstruction of intra oral post surgical defects
and cannot be used to close large defects. Regional flaps by buccal pad of fat‑A clinical study. J Indian Acad Dent Spec 2010;1:1‑4.
including tongue flap, temporalis muscle or nasolabial 15. Yazdi I, Seyedmajidi M, Foroughi R. Desmoplastic ameloblastoma (a hybrid variant):
flaps, etc., have also been successfully used for intra‑oral report of a case and review of the literature. Arch Iran Med 2009;12:304‑8.
reconstruction but generally preferred for defects of larger 16. dos Santos EP, Araújo FE, Valido DP, Lima SO, de Albuquerque RL Jr,
dimensions. [14,18] Soares AF. Desmoplastic ameloblastoma mimicking a periapical lesion. Rev
Odontol Ciênc 2010;25:306‑9.
In conclusion, BFP is one of the reliable methods which 17. Amaral MB, Freire‑Maia B, Serpa MR, Mesquita RA. A case report of
desmoplastic ameloblastoma. J Clin Exp Dent 2010;2:149‑52.
can be used for the replacement and reconstruction of the 18. Grace S, Madhulaxmi. The use of buccal fat pad reconstruction in oral
oral mucosa due to postsurgical defect. BFP is an excellent submucous fibrosis. J Med Sci Clin Res 2014;2:549‑54.
choice for reconstruction of small to medium size defects.
It should be manipulated gently and hemostasis should be How to cite this article: Rudagi BM, Bandral MR, Hammannawar R,
achieved meticulously during this surgery. It should not Padgavankar PH. Reconstruction of palate with buccal fat pad
be sutured under tension. Easy mobilization of the BFP secondary to resection of desmoplastic ameloblastoma. Plast Aesthet
Res 2015;2:91-4.
and its excellent blood supply leading to rapid healing
of wound and minimal donor site morbidity makes it a Source of Support: Nil, Conflict of Interest: None declared.
method of choice. Received: 09-09-2014; Accepted: 14-10-2014

94 Plast Aesthet Res || Vol 2 || Issue 2 || Mar 13, 2015